Document Detail

Erysipelas-like inflammation following breast surgery.
MedLine Citation:
PMID:  17399657     Owner:  NLM     Status:  MEDLINE    
Impaired lymph drainage is an inevitable consequence of any form of surgery that disrupts lymphatics, resulting in a degree of lymphoedema that may vary from subtle to dramatic and although classically involving an entire limb, may be more localised, confined to only a small area such as a skin flap. Infection is a well-recognised complication of lymphoedema. However, not all inflammatory episodes occurring in the setting of lymphatic dysfunction can be clearly attributed to infection as this article demonstrates. Five patients presented over a 5-year period with distinctive erysipelas-like inflammation affecting the breast which occurred several weeks following reduction mammaplasty in four patients and breast reconstruction in one patient. No clinical response was obtained with standard antibiotics. This inflammatory problem may represent a previously unreported complication of breast surgery with an incidence of 4% following reduction mammaplasty. Recent research supports the notion that this type of episode is most likely to be due to a non-infective inflammatory process related to lymphatic dysfunction induced by surgery.
A Cichowitz; P A Stanley; W A Morrison
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Publication Detail:
Type:  Journal Article     Date:  2006-07-07
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  60     ISSN:  1748-6815     ISO Abbreviation:  -     Publication Date:  2007  
Date Detail:
Created Date:  2007-04-02     Completed Date:  2007-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  490-4     Citation Subset:  IM    
Department of Surgery, University of Melbourne, St. Vincent's Hospital, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia.
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MeSH Terms
Administration, Oral
Anti-Bacterial Agents / administration & dosage
Breast Diseases / drug therapy,  etiology*
Erysipelas / drug therapy,  etiology*
Lymphedema / complications
Mammaplasty / adverse effects*,  methods
Mastitis / drug therapy,  etiology
Middle Aged
Reg. No./Substance:
0/Anti-Bacterial Agents

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